REGISTRATION FORM 2020
THIS FORM DOES NOT CONFIRM YOUR CHILD FOR THE PROGRAMME.
* Required
Email address
*
Your email
PROGRESSIVE LEARNING ACADEMY
MOTHER'S FULL NAME:
*
Your answer
NRIC:
*
Your answer
MOBILE NUMBER:
*
Your answer
ADDRESS:
*
Your answer
OCCUPATION (IF CIVIL SERVANT, PLEASE INDICATE DEPARTMENT. EG: POLICE, TEACHER):
*
Your answer
FATHER'S NAME:
*
Your answer
NRIC:
*
Your answer
MOBILE NUMBER:
*
Your answer
HOME NUMBER:
*
Your answer
ADDRESS:
*
Your answer
OCCUPATION (IF CIVIL SERVANT, PLEASE INDICATE DEPARTMENT. EG: POLICE, TEACHER):
*
Your answer
CHILD'S NAME:
*
Your answer
CHILD'S BC NUMBER:
*
Your answer
CHILD'S DATE OF BIRTH:
*
MM
/
DD
/
YYYY
PROGRAMMES PREFFERED:
*
EASYENGLISH EXPRESS 24 HOUR PROGRAMME
EASYBAHASA EXPRESS 24 HOUR PROGRAMME
EASYARABIC EXPRESS 24 HOUR PROGRAMME
READING PREPARATORY
MADRASAH ENTRANCE TEST PREPARATORY PROGRAMME @ HOME
PRE PRIMARY ONE PREPARATORY
MADRASAH ENTRANCE TEST PREPARATORY @ CENTRE
DAYS PREFFERED (MINIMUM 2 DAYS)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (Additional $40 Fees)
Sunday (Additional $40 Fees)
Madrasah Entrance Test Preparatory Centre (For those joining lessons at Centre, please tick this box)
Required
TIME PREFFERED:
*
8.00AM
8.30AM
9.00AM
9.30AM
10.00AM
10.30AM
11.00AM
11.30AM
12.00PM
12.30PM
1.30PM
2.00PM
2.30PM
3.00PM
3.30PM
4.00PM
4.30PM
5.00PM
5.30PM
6.00PM
METP @ CENTRE
Madrasah Pre-Primary 1 @ Centre 9am to 1pm
Required
INCOMPLETE OR SUSPICIOUS INFORMATION SUBMITTED WILL NOT BE ENTERTAINED.
PROCESS MIGHT TAKE A WEEK.
Log on to www.progressivelearningacademy.com to find out more details on our programmes
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